Blossom Midwifery LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

DEM-LD-10121585 Issued in OR

Legal business name

BLOSSOM MIDWIFERY LLC

Practice address

4303 SE Fieldcrest Dr
Milwaukie, OR 97222-5077

Phone

(503) 522-4545

Fax

(503) 405-8286

NPI assigned

Jun 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanna Judith Jech, CPM, LDMNPI 1518144856

Title

Licensed Midwife

Phone

(503) 522-4545

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna Judith Jech

  • Counselor
  • Port Townsend, WA
  • NPI 1518144856

  Midwife

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1740542240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 SE FIELDCREST DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225077",
            "telephone_number": "503-522-4545",
            "fax_number": "503-405-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 SE FIELDCREST DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225077",
            "telephone_number": "503-522-4545",
            "fax_number": "503-405-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "JECH",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "503-522-4545",
        "authorized_official_credential": "CPM, LDM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10121585",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201050147NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Blasko, R.D.H.
• Christina Ruth Blatchford, DMD
• Jonathan M. Blatt, M.D.
• Natasha Diane Bledsoe, MA SLP
• Jaclyn Lee Bloom, COTA
• Boardman Surgical LLC
• Ellie Raines Boardman
• Samantha Bobbitt
• Body Works Wellness Center LLC
• Jaylene Amber Boggs, CERTIFIED OCCUPATION

• Midwife in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.